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USE 'HEATING TEST RECORD ?V//.0,.7 <br />ADDR ESS <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT <br />.'1 <br />MAKE <br />Model l <br />Ser i a 1 <br />INPUT 1 <br />GA FA ✓ HW <br />GAS DESIGN <br />i <br />STEAM <br />APT. FLOOR _—CITY SUBURBC"10 <br />OWNER <br />INSTALLED BY '�� — ------ - . <br />_ Gos Line By =•�_—__-_-- <br />SPACE HTR. _ UNIT HTR. --OTHER <br />_MAKE OF BURNER <br />T— Model <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model <br />CONVERSION <br />CONTROLS L� h <br />THERMOST T 1'r / Heat Plug _—_--_ Vent Size <br />Valve --L' __ _ KIND OF LINERSIZE NONE <br />Limit Draft Hood ._ Regularor <br />Limit Setting — �-� Fi Iters Size Nyarfber <br />Fan Setting fr A - Chimney Location I d� t'// utside — <br />Pilot Type Chimney Construction LvN /. <br />Pilot Make <br />Pilot Model Smoke Bomb —Wiring—(— <br />Pilot Timing Draft _ Test Tog <br />L.W. Cut Off Door Pressure _ Lighting Inst. <br />Pressures tPercent CO2 Date Tested <br />Input CFH _ J iJ Percent 02 Company Tea <br />Stock Temp. �� rQ d Percent CO Name of Test <br />Form 235 <br />